Abstract: Damage to the bone structures in the area of the hip joint refers to severe injuries of the musculoskeletal system for the elderly and senile, usually leading to an unfavorable outcome. One of the important problems of geriatric practice is comorbidity, which affects the prognosis for life, increases the likelihood of death.The aim of the work was to study the factors influencing the choice of tactics and methods of treatment of fractures of the femoral neck in elderly and senile people, taking into account the level and severity of comorbid pathology. The analysis of the incidence and level of comorbidity in 201 patients with fractures of the femoral neck was carried out, the mean age was 71.4 ± 7.1 g. The results of evaluating the comorbidity indices revealed its high rates, for example, the Charleston index averaged 9.12 ± 1.05 points, the CIRS index was 16.2 ± 3.9 points. The main contingent of treated patients - 147 (73.1%) - were people with a high level of physical activity.